Hunter Alexandra E, Otto-Moudry Reade A, Yusuf Cynthia T, Malik Rena D, Moses Rachel A
Department of Surgery, Division of Urology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Department of Surgery, Division of Urology, University of Maryland School of Medicine, Baltimore, MD, United States.
Can Urol Assoc J. 2025 Jan;19(1):E55-E61. doi: 10.5489/cuaj.8872.
The purpose of this study is to evaluate YouTube content about metoidioplasty on completeness of perioperative information, actionability, understandability, degree of misinformation, quality, and presence of commercial bias.
A YouTube search for "Metoidioplasty" was conducted and the first 100 video results were watched by five independent reviewers. Videos in English, <30 minutes in length were included and videos primarily showing surgical footage were excluded. Videos were evaluated between January 2022 and June 2022. Each video was evaluated for presenter demographics, channel/video statistics, and whether it covered topics including anatomy, treatment options, outcomes, procedure risks, and misinformation, and whether it had a clickbait title. Calculated scores for validated DISCERN and patient education materials assessment tool (PEMAT) metrics were the primary outcome variables used to quantify quality, actionability, and understandability. For PEMAT, a cutoff of 75% was used to differentiate between "poor" vs. "good/sufficient." Multivariate and univariate logistic regressions were performed to assess correlations among primary outcome variables and other variables.
Of the 79 videos analyzed, 24% (n=19) were of high quality; 99% (n=78) had poor understandability and 100% (n=79%) had poor actionability. Patients/consumers were the most common publisher type (n=71, 90%).
This study demonstrates metoidioplasty content available on YouTube is not comprehensive and is of poor quality, and poor actionability and understandability, demonstrating a clear need for more relevant, accessible, comprehensible, and accurate content.
本研究的目的是评估YouTube上关于阴茎成形术的内容，涉及围手术期信息的完整性、可操作性、可理解性、错误信息程度、质量以及商业偏见情况。
在YouTube上搜索“阴茎成形术”，由五名独立评审员观看前100个视频结果。纳入时长小于30分钟的英文视频，排除主要展示手术画面的视频。于2022年1月至2022年6月对视频进行评估。评估每个视频的发布者人口统计学信息、频道/视频统计数据，以及是否涵盖解剖学、治疗选择、结果、手术风险和错误信息等主题，以及是否有标题党。计算经过验证的DISCERN和患者教育材料评估工具（PEMAT）指标的得分，作为用于量化质量、可操作性和可理解性的主要结局变量。对于PEMAT，使用75%的临界值来区分“差”与“好/充分”。进行多变量和单变量逻辑回归，以评估主要结局变量与其他变量之间的相关性。
在分析的79个视频中，24%（n = 19）质量较高；99%（n = 78）可理解性差，100%（n = 79）可操作性差。患者/消费者是最常见的发布者类型（n = 71，90%）。
本研究表明YouTube上可获取的阴茎成形术内容不全面，质量差，可操作性和可理解性也差，这表明显然需要更相关、易获取、易懂且准确的内容。
